Drug Tariff Watch – May 2025
Monday 28th April 2025
The Drug Tariff Preface published monthly, lists additions, deletions and other changes to products listed in the Drug Tariff. Below is a summary of the changes coming into effect from 1 May 2025.
PART IIIA – Professional fees (pharmacy contractors)
Contractors should note the English Pharmacy Contractor Single Activity Fee has changed from £1.27 to £1.46.
This was redetermined in April 2025 Drug Tariff.
Part VIIIC – Arrangements of payment for products supplied free of charge or products with a nominal price (England)
Contractors should note that Nirmatrelvir 150mg tablets and Ritonavir 100mg (Paxlovid) tablets will no longer be reimbursed as per Part VIIIC (i)
| Key | |
| g | Special container – This product is a special container and should be dispensed in its complete original pack size. |
| n | Item requiring reconstitution – This product requires reconstitution; pharmacy teams are advised to endorse the amount of packs supplied to enable the patient to complete the full course of medication prescribed. |
| § | Selected List Scheme (SLS) – see Part XVIIIB of the Drug Tariff |
| * | This pack only (others already/still available) |
| BB | Product is eligible for Broken Bulk claims where payment is made for a complete pack if a part-pack has been dispensed to match the prescribed quantity and it is unlikely that you will be able to dispense the balance within the following six months. |
| OOP | Product eligible for Out Of Pocket expense claims (over £0.50) where in exceptional circumstances, pharmacy owners incur expenses in obtaining this product (which is not required to be frequently supplied by the pharmacy owner). |
| DND | Product is not subject to discount deduction or ‘clawback’ as it meets either group or individual item criteria for DND (Discount Not Deducted) as set out in Part II of the Drug Tariff. |
Part VIIIA Additions
Category C Additions:
- * Ergocalciferol 300,000units/1ml solution for injection ampoules (5) – RPH Pharmaceuticals AB – BB and OOP
- * Macrogol compound oral powder sachets NPF sugar free (20) – CosmoCol Orange – BB and OOP
- * Naldemedine 200microgram tablets (30) – Rizmoic – BB and OOP
- * Nicotine 2mg medicated chewing gum sugar free (30) – Nicorette Fruitfusion – BB and OOP
- Somatrogon 60mg/1.2ml solution for injection pre-filled disposable devices g (1) – Ngenla – DND and OOP
Part VIIIA Amendments
- Amisulpride 100mg/ml oral solution sugar free g (60ml) Category C Thame Laboratories Ltd reference product now reads Syri Ltd – DND and OOP
Price decrease £88.75 to £79.88
- Amlodipine 10mg/5ml oral solution sugar free (150ml) Category C Thame Laboratories Ltd reference product now reads Syri Ltd – DND and OOP
Price decrease £71.07 to £60.41
- Baclofen 10mg/5ml oral solution sugar free (150ml) Category C Thame Laboratories Ltd reference product now reads Syri Ltd – BB and OOP
Price remains at £9.10
- Baricitinib 2mg tablets (28) Category C Olumiant reference product now reads Eli Lilly and Company Ltd – DND, BB and OOP
Price remains at £805.56
- Baricitinib 4mg tablets (28) Category C Olumiant reference product now reads Eli Lilly and Company Ltd – DND, BB and OOP
Price remains at £805.56
- Clonazepam 2mg/5ml oral solution sugar free (150ml) Category C Thame Laboratories Ltd reference product now reads Syri Ltd – DND, BB and OOP
Price decrease £83.93 to £73.86
- Codeine 15mg/5ml linctus (200ml) Category C Thornton & Ross Ltd reference product now reads Relonchem Ltd – BB and OOP
Price increase £2.40 to £ 19.50
- Colecalciferol 15,000units/5ml oral solution sugar free g (100ml) Category C Thame Laboratories Ltd reference product now reads Syri Ltd – OOP
Price decrease £99.14 to £89.23
- Dexamethasone 0.1% eye drops 0.4ml unit dose preservative free (20) Category C Dropodex now reads 20(4xg5) to reflect the change in special container status – OOP
Price remains at £11.53 - Dihydrocodeine 60mg modified-release tablets (56) Category C DHC Continus reference product now reads Ennogen Healthcare International Ltd – BB and OOP
Price remains at £5.20
- Fentanyl 400microgram lozenges (3) Category C Actiq reference product now reads Cynril – DND, BB and OOP
Price decrease £21.05 to £16.80
- Hydrocortisone sodium phosphate 3.35mg/ml eye drops 0.4ml unit dose preservative free (30) Category C Softacort now reads 30(3xg10) to reflect the change in special container status
Price remains at £10.99 - Itraconazole 50mg/5ml oral solution sugar free (150ml) Category C Thame Laboratories Ltd reference product now reads Syri Ltd – BB and OOP
Price decrease £48.08 to £43.27
- Levofloxacin 250mg tablets (10) Category C reference product now reads Macleods Pharma UK Ltd – BB and OOP
Price remains at £11.09
- Liquid paraffin light 63.4% bath additive g (150ml) Category C Oilatum Bath Formula reference product has now been removed – OOP
Price remains at £3.89 - Melatonin 2mg/ml oral solution sugar free (25ml) Category C Thame Laboratories Ltd reference product now reads Syri Ltd – DND, BB and OOP
Price decrease £60.00 to £55.00
- Naproxen 500mg / Esomeprazole 20mg modified-release tablets (60) Category C Vimovo now reads g60 to reflect the change in special container status – BB and OOP
Price remains at £14.95 - Pentazocine 50mg capsules (28) Category C reference product now reads Accord-UK Ltd – DND, BB and OOP
Price remains at £28.50
- Propranolol 160mg modified-release capsules (28) Category C Beta-Prograne reference product now reads Tillomed Laboratories Ltd – BB and OOP
Price remains at £4.88
- Sitagliptin 100mg/5ml oral solution sugar free (150ml) Category C Thame Laboratories Ltd reference product now reads Syri Ltd – DND, BB and OOP
Price decrease £20.00 to £19.50
- Temazepam 10mg/5ml oral solution sugar free (300ml) Category C Thame Laboratories Ltd reference product now reads Syri Ltd – DND, BB and OOP
Price decrease £167.55 to £150.80
Please note price listed here was correct at the time of publishing and is subject to change in line with the price change mechanism.
Part VIIIA Deletions
If all pack sizes of a drug have been removed from Part VIII of the Drug Tariff the drug can continue to be dispensed as long as it does NOT appear in Part XVIIIA (Drugs, Medicines and other substances not to be ordered under a General Medical Services Contract).
Category C Deletions:
- Alendronic acid 70mg / Colecalciferol 140microgram tablets g (4) – Bentexo
- Aliskiren 150mg tablets (28) – Rasilez
- Aliskiren 300mg tablets (28) – Rasilez
- Allantoin 10.25mg / Lidocaine 10.25mg suppositories (12) – Anodesyn
- Choriogonadotropin alfa 250micrograms/0.5ml solution for injection pre-filled disposable devices g (1) – Ovitrelle
- * Ergocalciferol 300,000units/1ml solution for injection ampoules (10) – RPH Pharmaceuticals AB
- * Flumetasone 0.02% / Clioquinol 1% ear drops g (10ml) – Advanz Pharma
- Ibuprofen 100mg/5ml oral suspension (500ml) – Brufen Syrup
- Ketoprofen 100mg modified-release capsules (56) – Oruvail 100
- Mestranol 50microgram / Norethisterone 1mg tablets (63) – Norinyl-1
- * Naldemedine 200microgram tablets (28) – Rizmoic
- Paracetamol 500mg/5ml oral solution sugar free (200ml) – Advanz Pharma
- Phytomenadione 1mg capsules (12) – Neokay
- Quinapril 10mg / Hydrochlorothiazide 12.5mg tablets (28) – Accuretic
- Quinapril 10mg tablets (28) – Accupro
- Quinapril 20mg tablets (28) – Accupro
- Quinapril 40mg tablets (28) – Accupro
- Quinapril 5mg tablets (28) – Accupro
- Salicylic acid 2% ointment (450g) – Thornton & Ross Ltd
- * Tacalcitol 4micrograms/g ointment g (30g) – Curatoderm
- Terbutaline 5mg tablets (100) – Bricanyl
- Tramadol 100mg/ml oral drops g (10ml) – Advanz Pharma
Part VIIIB Additions
- Finasteride 5mg/5ml oral suspension STD, AF, FF, SF (50ml)
- Terbinafine 250mg/5ml oral solution STD (70ml)
Part VIIIB Amendments
| Previous Part VIIIB wording | Now reads |
| Buspirone 5mg/5ml oral suspension STD (100ml) | Buspirone 5mg/5ml oral suspension STD, AF, SF (100ml) |
| Chlorothiazide 250mg/5ml oral solution STD (100ml) | Chlorothiazide 250mg/5ml oral solution STD, AF (100ml) |
Part VIIIB Deletions
- Spironolactone 25mg/5ml oral suspension STD, SF, LF, NSF, FF, AF, CF (125ml)
Part VIIIC Arrangements of payment for products supplied free of charge or products with a nominal price (England) Deletions
- Nirmatrelvir 150mg tablets and Ritonavir 100mg tablets has been removed from this Part
- Paxlovid 150mg/100mg tablets has been removed from this Part
Part II (Drugs for which discount is not deducted (DND)) Additions
- Ivermectin 3mg tablets
- Lagevrio 200mg capsules – added to the DND list retrospectively on 1 April 2025
- Paxlovid 150mg/100mg tablets
Part II (Drugs for which discount is not deducted (DND)) Deletions
- Extavia 300microgram powder and solvent for solution for injection vials
- Gosa-S 500mg capsules
- Rivastigmine 2mg/ml oral solution
Part VIC (Lateral flow device reimbursement price) Amendments
The payment for these tests, where supplied as part of the service, will be £3.79 for 5 LFD tests. An allowance at the applicable VAT rate will also be paid.
Part IX Deletions
It is important to take careful note of removals from Part IX because if you dispense a deleted product, prescriptions will be returned as disallowed and therefore payment will not be made for dispensing the item.
The following appliances have been deleted from Part IX of the May 2025 Drug Tariff:
| Product | Additional information (size, product code etc) |
| APPLIANCES – BANDAGES – Multi-layer Compression Bandaging – Smith & Nephew Healthcare Ltd – Profore – multi-layer compression bandage kit | All sizes |
| APPLIANCES – BANDAGES – Multi-layer Compression Bandaging – Smith & Nephew Healthcare Ltd – Profore Lite – multi-layer compression bandage kit | above 18cm |
| APPLIANCES – BANDAGES – Multi-layer Compression Bandaging – Smith & Nephew Healthcare Ltd – Profore #1 | 10cm x 3.5m (unstretched) |
| APPLIANCES – BANDAGES – Multi-layer Compression Bandaging – Smith & Nephew Healthcare Ltd – Profore #2 | 10cm x 4.5m (stretched) |
| APPLIANCES – BANDAGES – Multi-layer Compression Bandaging – Smith & Nephew Healthcare Ltd – Profore #3 | 10cm x 8.7m (stretched) |
| APPLIANCES – BANDAGES – Multi-layer Compression Bandaging – Smith & Nephew Healthcare Ltd – Profore #4 | 10cm x 2.5m (unstretched) |
| APPLIANCES – BANDAGES – Sub-compression Wadding Bandage – Profore #1 (100% Natural Fleece) 3.5m unstretched | 10cm x 3.5m |
| APPLIANCES – DRY MOUTH PRODUCTS – Saliva Replacement and Stimulating Products – BioXtra Dry Mouth Gel Mouthspray | 50ml |
| APPLIANCES – DRY MOUTH PRODUCTS – Saliva Replacement and Stimulating Products – BioXtra Dry Mouth Mild Toothpaste | 50ml tube |
| APPLIANCES – DRY MOUTH PRODUCTS – Saliva Replacement and Stimulating Products – BioXtra Dry Mouth Oral Gel | 40ml |
| APPLIANCES – DRY MOUTH PRODUCTS – Saliva Replacement and Stimulating Products – BioXtra Dry Mouth Ultra Mild Mouthrinse | 250ml bottle |
| APPLIANCES – LYMPHOEDEMA GARMENTS – Sigvaris CompreFit | All types and sizes |
To view appliances due to be deleted from Part IX of the June, July and August 2025 Drug Tariffs visit our page Drug Tariff Appliance Watch: Notice of Deletion
To view the latest changes to special container status, visit our page Notice of changes to special container status of products page.
To view all the monthly changes to the DND status of products, visit our page Notice of changes to discount not deducted (DND) status of products.
To view previous Drug Tariff Watch months visit our page here.
Monday 28th April 2025
